Individual
ANGELA KALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-01183
NC
2084P0800X
Psychiatry Physician
4301098781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720375926
—
NC
01
—
19CN3
BCBSNC
NC
Enumeration date
07/08/2011
Last updated
02/15/2024
Update your record
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